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Charge Reviewer
2 months ago
"You can make a difference in the life of an oncology patient and find your career satisfaction by joining our team of healthcare professionals today."
About Oncology Consultants
Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX, for over 35 years. Our healthcare team is committed to providing state-of-the-art cancer treatment in a caring environment as we expand our oncology services in the Memorial City location.
About the Position:
This position is responsible for adhering to and performing all Oncology Consultants PA billing procedures.
Shift Schedule:
- Mon - Fri: 8am - 5pm
Benefits:
- Insurances: Life, medical, dental, short term and long-term disability
- 401K
- Free parking
- PTO
- Holidays
- Competitive salary
- Employee Assistant Program
- Tuition Reimbursement
- Continuing Medical Education Allowance
- Pet Insurance
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Responsible for managing and reviewing daily superbills/charges for all practice locations assigned. Manage and review all incoming charges received and make necessary billing edits. Upon review, release charges/transactions for processing into RCM software and handle transaction failures/errors for correction. Review and manage all transactions on hold or in progress status due to variances in procedure transaction processing/ or held due to rules and/or edits defined. When needed, enter manual charge for a patient account.
- Responsible for adhering to and performing all Oncology Consultants PA billing procedures, including posting new charges promptly and accurately.
- Responsible for reviewing and managing claim errors for approved failed or any missing information on patient accounts and/or holding claims and/or transactions for account and/or statement generation.
- Responsible for managing transaction reconciliation for missing superbills/charges.
- Responsible for monitoring, working, and updating claims with any charge discrepancies. Utilize appropriate daily status reports.
- Participate and assist reviews with claim edits for possible enhancement and/or make recommendations to the Management.
- Maintains and stays current on Billing guidelines or changes in Medical/Clinical policies. · Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Responsible for adhering to established Company rules and policies.
- Openly communicate trends/changes/updates with other charge review team members other appropriate departments under directions of the Billing Supervisor/Management
QUALIFICATION REQUIREMENTS:
- High level of organizational skills including: 1) Time Management, 2) high degree of accuracy and attention to detail, 3) Project management/organization
- Knowledge of Oncology, Imaging and Radiation specialty and terminology preferred.
- Computer skills required: 1) Microsoft Office Suite - Outlook, Word, Excel, and PowerPoint 2) EHR, 3) Revenue Cycle Management software. · Willingness and ability to work with new software as it becomes necessary.
- Excellent verbal and written presentation skills. Proven ability to calculate, post and manage accounting figures and financial records and data entry skills along with an aptitude for numbers.
- Solid understanding of basic RCM, accounting principles, fair credit practices and collection regulations · Customer service orientation and negotiation skills
- 2+ years of experience in billing/revenue cycle management
LANGUAGE SKILLS:
Verbal and written communication skills
Oncology Consultants is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
PHYSICAL DEMANDS: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.
COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.
Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest Northwest |League City | Pearland |Precision | Pasadena | Cypress | Corpus Christi
Apply today. Our short application process takes less than 5 minutes with your phone, tablet or computer.
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